Abstract
Ammonia has been long recognized as a metabolic waste product with well-known neurotoxic effects. However, little is known about the beneficial function of endogenous ammonia. Here, we show that gut ammonia links microbe nitrogen metabolism to host stress vulnerability by maintaining brain glutamine availability in male mice. Chronic stress decreases blood ammonia levels by altering gut urease-positive microbiota. A representative urease-producing strain, Streptococcus thermophilus, can reverse depression-like behaviours induced by gut microbiota that was altered by stress, whereas pharmacological inhibition of gut ammonia production increases stress vulnerability. Notably, abnormally low blood ammonia levels limit the brain’s availability of glutamine, a key metabolite produced by astrocytes that is required for presynaptic γ-aminobutyric acid (GABA) replenishment and confers stress vulnerability through cortical GABAergic dysfunction. Of therapeutic interest, ammonium chloride (NH4Cl), a commonly used expectorant in the clinic, can rescue behavioural abnormalities and GABAergic deficits in mouse models of depression. In sum, ammonia produced by the gut microbiome can help buffer stress in the host, providing a gut–brain signalling basis for emotional behaviour.
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Data availability
The 16S rRNA and metagenomic sequencing datasets are available from the NCBI SRA database with the accession numbers PRJNA919158 and PRJNA921725. Other data that support the findings of this study are available upon reasonable request from the corresponding author J.-G.C. Source data are provided with this paper.
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Acknowledgements
This work was supported by the Foundation for the National Key R&D Program of China (nos. 2020YFA0803900 and 2021ZD0202900 to J.-G.C.), the National Natural Science Foundation of China (no. 82073834 to P.-F.W., no. 81971279 to F.W., no. 81973310 to J.-G.C.), the National Natural Science Foundation of China (grant no. 82130110 to J.-G.C. and grant no. U21A20363 to F.W.) and the Innovative Research Groups of the National Natural Science Foundation of China (grant no. 81721005 to J.-G.C. and F.W.).
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P.W. performed most animal experiments, stereotaxic surgery, electrophysiological recordings and molecular experiments. P.-F.W. conceived the study, helped with molecular detection and analysed sequencing data. H.-J.W. performed animal experiments and molecular experiments. F.L. contributed to animal experiments. P.W. and P.-F.W. wrote the paper and drew the figures. P.-F.W., F.W. and J.-G.C. supervised the project, designed experiments, revised the paper and supported funding acquisition.
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Nature Metabolism thanks Kenji Hashimoto and the other, anonymous, reviewers for their contribution to the peer review of this work. Primary Handling Editor: Ashley Castellanos-Jankiewicz, in collaboration with the Nature Metabolism team.
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Extended data
Extended Data Fig. 1 Chronic stress induces depressive-like behaviors in mice.
a, Heat maps showed the time distribution of control, susceptible or resilient mice during target and no target stage of social behavior test. b, CSDS-exposed mice were separated into susceptible or resilient groups according to the social interaction ratio (n = 14 mice, Control vs Susceptible, P < 0.0001). c, Time in the interaction zone in the absence or presence of social target (n = 14 mice, Control vs Susceptible, P < 0.0001). d, Sucrose preference of adult control, susceptible or resilient mice after CSDS (n = 14 mice, Control vs Susceptible, P < 0.0001). e, Body weight change ratio of control and CSDS-exposed mice before and after CSDS (n = 13 mice). f, The amount of food consumption during 2 hours and 12 hours after CSDS (n = 11, 17 mice). g, Schematic of CUMS procedure and behavioral tests. h, Depressive-like behaviors in CUMS mice, as measured by the sucrose preference in SPT (left) and the immobility time in FST (right), n = 9 mice. For SPT, P < 0.0001; For FST, P < 0.0001. i, Schematic of CRS procedure and behavioral tests. j, Depressive-like behaviors in CRS mice, as measured by the sucrose preference in SPT (left) and the immobility time in FST (right), n = 8, 8 mice. For SPT, P = 0.0004; For FST, P = 0.0051. k, The levels of blood ammonia in the mice exposed to CUMS (left) and CRS (right). For CUMS, n = 7, 8 mice, P = 0.0105; For CRS, n = 11, 12 mice, P = 0.0173. Data are the mean ± s.e.m., *P < 0.05, **P < 0.01, ***P < 0.001. Statistical differences were determined by one-way ANOVA with Bonferroni’s multiple-comparisons test (b-d) and two-tailed unpaired Student’s t-test (e, f, h, j, k). The statistical details are provided in Supplementary Table 1.
Extended Data Fig. 2 Altered microbial communities are mainly responsible for gut ammonia production and depressive-like behaviors.
a, Timeline of oral broad-range antibiotics for 7 days and tissue collection. b, The levels of ammonia in the blood, feces and mPFC of vehicle and Abx-treated mice (n = 10 mice; Blood: P < 0.0001, Feces: P = 0.0023; mPFC: P = 0.0444). c, The levels of urease in the feces of vehicle and Abx-treated mice (n = 8 mice, P = 0.0008). d, Schematic of the FMT study: Abx-treated mice were colonized with fecal samples from control or CSDS donors followed by behavior tests. e, Behavioral tests of the recipient mice in the SIT, SPT, FST and TST. For SIT, n = 20, 18 mice, P = 0.0204; For SPT, n = 20, 18 mice, P = 0.0136; For FST n = 20, 17 mice, P = 0.0037; For TST, n = 10 mice, P = 0.0007. f, Behavioral tests of the recipient mice in the OFT (n = 10, 8 mice). Data are the mean ± s.e.m., *P < 0.05, **P < 0.01, ***P < 0.001. Statistical differences were determined by two-tailed unpaired Student’s t-test. The statistical details are provided in Supplementary Table 1.
Extended Data Fig. 3 CSDS alters gut microbiota and urease-positive bacteria.
a, α-diversity index Shannon of gut microbiome of control and CSDS mice by two-sided Wilcoxon rank-sum test (n = 6 mice; whiskers indicate minimum to maximum values; the minima, first quartiles, median, third quartiles and maxima of control group are 7.671, 7.676, 7.763, 7.855, 7.938, CSDS group are 7.244, 7.278, 7.318, 7.430, 7.465; P = 0.026). b, Principal co-ordinates analysis (PCoA) plot of β-diversity (unweighted unifrac no label) in the feces (n = 6 mice). c, Taxonomic abundance of bacteria at phylum level of control and CSDS mice. Data were showed as relative abundance (%) of top 15 most abundant phylum in each group by Wilcoxon rank-sum test (n = 6 mice). d, Histogram of the LDA scores for differentially abundant KEGG pathway at level 1 and level 2 analyzed by LEfSe analysis (n = 3 mice, P < 0.05, LDA > 3). e, Urease-related pathways enriched from metagenomic pathway at level 3 (n = 3 mice). f, Relative abundance of urease in arginine biosynthesis pathway of control and CSDS-exposed mice (n = 3 mice, P = 0.0352). g, The levels of arginase in the feces and colon of control and CSDS-exposed mice (n = 8 mice). h, The bacterial taxa from taxonomic classification of urease genes as determined by sequence abundance. Data are presented as median with interquartile range (a) and mean ± s.e.m. (f, g), *P < 0.05. Statistical differences were determined by two-tailed unpaired Student’s t-test (f, g). The statistical details are provided in Supplementary Table 1.
Extended Data Fig. 4 Quantitative real time PCR analysis of fecal samples confirmed successful colonization of the S. thermophilus following oral gavage, related to Fig. 2.
a, CON-FMT + pasteurized S. thermophilus group mice (n = 4 mice); b, CON-FMT + live S. thermophilus group mice (n = 4 mice); c, CSDS-FMT + pasteurized S. thermophilus group mice (n = 4 mice); d, CSDS-FMT + live S. thermophilus group mice (n = 3 mice). e, Relative abundance of S. thermophilus in the fecal samples collected from the colon of CON-FMT + pasteurized S. thermophilus, CON-FMT + live S. thermophilus, CSDS-FMT + pasteurized S. thermophilus and CSDS-FMT + live S. thermophilus groups of mice (n = 4, 4, 4, 3 mice; CON-FMT + Pasteurized vs CON-FMT + Live, P = 0.0037; CSDS-FMT + Pasteurized vs CSDS-FMT + Live, P = 0.0176). Data are the mean ± s.e.m., *P < 0.05, **P < 0.01. Statistical differences were determined by two-tailed unpaired Student’s t-test. The statistical details are provided in Supplementary Table 1.
Extended Data Fig. 5 No differences in glutamine and ammonia levels are observed in some brain regions or peripheral tissues.
a, Levels of ammonia in the mPFC of control and LAC mice (n = 7, 8 mice). b, Levels of ammonia in the mPFC of control and CSDS mice (n = 7, 8 mice). c, Levels of ammonia in the ACC of control and CSDS mice (n = 9, 8 mice). d, Levels of ammonia in the Hip of control and CSDS mice (n = 9, 8 mice). e, Levels of ammonia in the VTA of control and CSDS mice (n = 9, 8 mice). f, Levels of ammonia in the NAc of control and CSDS mice (n = 9, 8 mice). g, Levels of Gln in the mPFC of mice subjected to CRS (n = 8 mice, P = 0.0106). h, Levels of Gln in the Hip of control and CSDS mice (n = 7 mice). i, Levels of Gln in the NAc of control and CSDS mice (n = 7 mice). j, Levels of Gln in the blood of control and CSDS mice (n = 10, 11 mice). k, Levels of Gln in the colon of control and CSDS mice (n = 10, 11 mice). Data are the mean ± s.e.m., *P < 0.05. Statistical differences were determined by two-tailed unpaired Student’s t-test. The statistical details are provided in Supplementary Table 1.
Extended Data Fig. 6 No change in astrocyte or GABAergic neuron population in the mPFC of C57BL/6 mice after CSDS.
a, Glutamine synthetase (GS) is particularly expressed in astrocytes. Double immunofluorescence labeling of GS (green) and GFAP (red), Iba1(red) and NeuN (red) in mPFC. Scale bar, 50 μm. b, The immunofluorescence labeling of slc38a1 in the mPFC of mice. Top, representative mPFC image for slc38a1 (green) and GAD67 (red). Scale bar, 50μm. Bottom, GABA expression (red) and co-labeled with slc38a1 (green) in the mPFC. Scale bar, 50 μm. For a-b, experiments were independently performed at least three times and similar results were observed. Each independent experiment was performed with at least three biological replicates. c, Representative confocal microscopy images of GFAP immunoreactivity (left) and statistical analysis showing the density of GFAP immunoreactivity (right) in the mPFC of control and CSDS-exposed mice (n = 6 slices from 3 mice). Scale bar, 50 μm. d, Representative confocal microscopy images of GAD67 immunoreactivity (left) and statistical analysis showing the density of GAD67 immunoreactivity (right) in the mPFC of control and CSDS-exposed mice (n = 6 slices from 3 mice). Scale bar, 50 μm. Data are the mean ± s.e.m. (c, d). Statistical differences were determined by two-tailed unpaired Student’s t-test. The statistical details are provided in Supplementary Table 1.
Extended Data Fig. 7 No change in Gln metabolism-related protein expression in the mPFC of C57BL/6 mice after CSDS.
a-d, Western blot image (top) and quantification (bottom) of GS levels in mPFC (a), ACC (b), Hip (c) and BLA (d). Protein expression was normalized by the control level. For a, n = 6, 7 mice; For b, n = 4, 5 mice; For c, n = 6 mice; For d, n = 6, 7 mice. e, Western blot image (top) and quantification (bottom) of GAD67 levels in the mPFC of control and CSDS-exposed mice (n = 4, 5 mice). f, Western blot image (top) and quantification (bottom) of GAD65 levels in the mPFC of control and CSDS-exposed mice (n = 4, 5 mice). g, Western blot image (top) and quantification (bottom) of GLS levels in the mPFC of control and CSDS-exposed mice (n = 4, 5 mice). h, Western blot image (top) and quantification (bottom) of GLDH1 levels in the mPFC of control and CSDS-exposed mice (n = 4, 5 mice). i, Western blot image (top) and quantification (bottom) of GLDH2 levels in the mPFC of control and CSDS-exposed mice (n = 4 mice). j-m, Representative western blot analysis for slc38a1 in mPFC (j), ACC (k), Hip (l) and BLA (m) of control and CSDS mice as indicated. Protein expression was normalized by the control level. For j, n = 6, 7 mice, P = 0.0110; For k, n = 10, 11 mice; For l, n = 6 mice; For m, n = 6, 7 mice. Data are the mean ± s.e.m., *P < 0.05. Statistical differences were determined by two-tailed unpaired Student’s t-test. The statistical details are provided in Supplementary Table 1.
Extended Data Fig. 8 NH4Cl at high dosage significantly increased stress susceptibility.
a, The effect of NH4Cl on immobility time in FST (n = 10, 9, 11 mice). b, The effect of NH4Cl on immobility time in TST (n = 7, 7, 8 mice). c, Sucrose preference was measured in mice subjected to SSDS after NH4Cl injection (125 and 250 mg/kg, intraperitoneally, n = 9 mice). d, Social interaction ratio was measured in mice subjected to SSDS after NH4Cl injection (n = 9, 8, 9 mice, P = 0.0303). e, The level of Gln in the mPFC of mice (n = 8, 7, 8, 8 mice; Sal + Veh vs Sal + NH4Cl, P = 0.0264; Sal + Veh vs MSO + Veh, P = 0.0009). f, The level of ammonia in the mPFC of mice (n = 8, 7, 8, 8 mice, MSO + Veh vs MSO + NH4Cl, P = 0.0293). g, The urease activity in feces of NH4Cl-treated mice (n = 9, 10 mice). h, Behavioral tests in the SIT (e) and SPT (f) of control and CSDS mice 1 hour following NH4Cl injection (SIT: n = 8, 6, 6, 7 mice; SPT: n = 8, 7, 7, 8 mice). i-m, Western blot image (upper) and quantification (bottom) of the protein expression of GABAARα1 (i), GABAARα2 (j), GABAARα3 (k), GABAARα5 (l), and GABAARβ2 (m) in the mPFC. For i, n = 6, 7 mice; For j, n = 6, 7 mice; For k, n = 6 mice; For l, n = 6, 7 mice; For m, n = 6, 7 mice. Data are the mean ± s.e.m., *P < 0.05, ***P < 0.001. Statistical differences were determined by one-way ANOVA (a-d), two-way ANOVA with Bonferroni’s multiple-comparisons test (e, f, h) and two-tailed unpaired Student’s t-test (g, i-m). The statistical details are provided in Supplementary Table 1.
Extended Data Fig. 9 No significant damage in colonic epithelial barrier is detected in CSDS and lactulose exposed mice compared with control.
a, Gene expression levels of CLDN1 (left), CLDN5 (middle) and OCLN (right) in the colon of control and CSDS group mice. For CLDN1, n = 16 mice; For CLDN5, n = 16 mice; For OCLN, n = 15, 16 mice. b, Gene expression levels of CLDN1 (left), CLDN5 (middle) and OCLN (right) in the colon of control and LAC group mice (n = 6 mice). Data are the mean ± s.e.m. Statistical differences were determined by two-tailed unpaired Student’s t-test. The statistical details are provided in Supplementary Table 1.
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Wang, P., Wu, PF., Wang, HJ. et al. Gut microbiome-derived ammonia modulates stress vulnerability in the host. Nat Metab 5, 1986–2001 (2023). https://doi.org/10.1038/s42255-023-00909-5
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DOI: https://doi.org/10.1038/s42255-023-00909-5
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